The Effect of Extracorporeal Shockwave Therapy on de Quervain Tenosynovitis; a Clinical Trial

Haghighat, Shila; Vahdatpour, Babak; Ataei, Elham

doi:10.5812/semj.106559

Cited by 3 publications

(13 citation statements)

References 34 publications

(37 reference statements)

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“…A total of 37 studies were initially found to be eligible. Of those, 7 studies did not include 1 of our predefined outcome measures or included patients with conditions other than DQT and did not analyze data separately and were therefore excluded (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 17 studies were included in network meta-analyses, which were performed separately for short-term pain (15 studies; 14 interventions), mid-term pain (9 studies; 7 interventions), short-term function (8 studies; 7 interventions), and mid-term function (6 studies; 3 interventions). eFigures 17 through 20 in Supplement 1 show the comparative treatment class effects for short-term pain, mid-term pain, short-term function, and mid-term function.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 37 studies 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 were initially found to be eligible. Of those, 7 studies 9 , 10 , 11 , 12 , 13 , 14 , 15 did not include 1 of our predefined outcome measures or included patients with conditions other than DQT and did not analyze data separately and were therefore excluded ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Of those, 7 studies 9 , 10 , 11 , 12 , 13 , 14 , 15 did not include 1 of our predefined outcome measures or included patients with conditions other than DQT and did not analyze data separately and were therefore excluded ( Figure 1 ). A total of 30 studies 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 with 1663 patients (mean age [SD] age, 46 [7] years; 80% female) were included in further data collection. eTable 1 in Supplement 1 summarizes the patient, intervention, comparator, and outcome characteristics and the individual findings of these studies for pain and function, as well as the results of our pairwise meta-analyses where pooling of studies was possible.…”

Section: Resultsmentioning

confidence: 99%

“…Study publication year ranged from 2009 to 2022. eTable 2 in Supplement 1 shows the risk of bias assessment results of the ROB assessment. Of 19 studies 16 , 17 , 18 , 19 , 21 , 24 , 25 , 26 , 27 , 29 , 35 , 36 , 37 , 38 , 39 , 41 , 42 , 43 , 45 that participated in quantitative analyses (pairwise or network meta-analyses), 1 study was of low ROB and 8 studies were of high overall ROB, while the remaining 10 studies were rated as having some concerns (eTable 2 in Supplement 1 ).…”

Section: Resultsmentioning

confidence: 99%

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Management of de Quervain Tenosynovitis

Challoumas,

Ramasubbu,

Rooney

et al. 2023

JAMA Netw Open

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ImportanceThere is a plethora of treatment options for patients with de Quervain tenosynovitis (DQT), but there are limited data on their effectiveness and no definitive management guidelines.ObjectiveTo assess and compare the effectiveness associated with available treatment options for DQT to guide musculoskeletal practitioners and inform guidelines.Data SourcesMedline, Embase, PubMed, Cochrane Central, Scopus, OpenGrey.eu, and WorldCat.org were searched for published studies, and the World Health Organization International Clinical Trials Registry Platform, ClinicalTrials.gov, The European Union Clinical Trials Register, and the ISRCTN registry were searched for unpublished and ongoing studies from inception to August 2022.Study SelectionAll randomized clinical trials assessing the effectiveness of any intervention for the management of DQT.Data Extraction and SynthesisThis study was prospectively registered on PROSPERO and conducted and reported per Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension Statement for Reporting of Systematic Reviews Incorporating Network Meta-analyses of Health Care Interventions (PRISMA-NMA) and PRISMA in Exercise, Rehabilitation, Sport Medicine and Sports Science (PERSIST) guidance. The Cochrane Risk of Bias tool and the Grading of Recommendations, Assessment, Development, and Evaluations tool were used for risk of bias and certainty of evidence assessment for each outcome.Main Outcomes and MeasuresPairwise and network meta-analyses were performed for patient-reported pain using a visual analogue scale (VAS) and for function using the quick disabilities of the arm, shoulder, and hand (Q-DASH) scale. Mean differences (MD) with their 95% CIs were calculated for the pairwise meta-analyses.ResultsA total of 30 studies with 1663 patients (mean [SD] age, 46 [7] years; 80% female) were included, of which 19 studies were included in quantitative analyses. From the pairwise meta-analyses, based on evidence of moderate certainty, adding thumb spica immobilization for 3 to 4 weeks to a corticosteroid injection (CSI) was associated with statistically but not clinically significant functional benefits in the short-term (MD, 10.5 [95% CI, 6.8-14.1] points) and mid-term (MD, 9.4 [95% CI, 7.0-11.9] points). In the network meta-analysis, interventions that included ultrasonography-guided CSI ranked at the top for pain. CSI with thumb spica immobilization had the highest probability of being the most effective intervention for short- and mid-term function.Conclusions and RelevanceThis network meta-analysis found that adding a short period of thumb spica immobilization to CSI was associated with statistically but not clinically significant short- and mid-term benefits. These findings suggest that administration of CSI followed by 3 to 4 weeks immobilization should be considered as a first-line treatment for patients with DQT.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Management of de Quervain Tenosynovitis

Challoumas,

Ramasubbu,

Rooney

et al. 2023

JAMA Netw Open

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Advancements in de Quervain Tenosynovitis Management: A Comprehensive Network Meta-Analysis

Chong,

Pradhan,

Dhingra

et al. 2024

The Journal of Hand Surgery

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Efektivitas Pemberian Intervensi Fisioterapi pada Kasus De Quervain's Tenosynovitis

Ni Made,

Anggreni

2022

KPC

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Latar Belakang: Diperkirakan bahwa lebih dari 25% semua cedera terkait olahraga melibatkan wrist dan hand. Salah satu jenis cedera yang dapat terjadi pada regio wrist dan hand adalah De Quervain’s tenosynovitis (DQT). Penggunaan pergelangan tangan/wrist yang berlebihan dan peningkatan aktivitas yang berulang merupakan penyebab umum DQT yang mengakibatkan kerusakan mikro akibat terlalu sering tergelincirnya tendon kompartemen bagian dorsal utama, sehingga menyebabkan rasa nyeri. Penatalaksanaan konservatif pada kasus DQT berbeda berdasarkan tingkat keparahan kondisinya. Terdapat berbagai jenis intervensi fisioterapi yang dapat diterapkan pada kasus DQT, seperti pengaplikasian modalitas ultrasound therapy, low-level laser therapy, extracorporeal schock wave therapy, pemasangan splinting, kinesio taping, serta berbagai jenis exercise. Tujuan: Untuk menentukan efektivitas pemberian intervensi fisioterapi pada kasus De Quervain’s tenosynovitis. Metode: Metode yang digunakan pada penelitian ini adalah studi literature review yaitu menggunakan data sekunder yang diambil dari beberapa jurnal penelitian yang berkaitan dengan efektivitas intervensi fisioterapi pada kasus De Quervain’s tenosynovitis. Hasil: Beberapa penelitian membuktikan bahwa pemberian intervensi fisioterapi berupa berupa modalitas, seperti low-level laser therapy, ultrasound therapy, extracorporeal shock wave therapy, bebera jenis latihan seperti eccentric exercise, strengthening exercise, pemasangan thumb spinting, serta pemberian manual terapi berupa deep friction massage efektif dalam mengurangi tanda dan gejala pada kasus De Quervain’s tenosynovitis. Simpulan: Pemberian intervensi fisioterapi berupa modalitas yang dikombinasikan dengan beberapa jenis latihan, pemasangan thumb spinting, serta pemberian manual terapi berupa deep friction massage terbukti efektif dalam mengurangi gejala pada pasien dengan De Quervain’s tenosynovitis.

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The Effect of Extracorporeal Shockwave Therapy on de Quervain Tenosynovitis; a Clinical Trial

Cited by 3 publications

References 34 publications

Management of de Quervain Tenosynovitis

Management of de Quervain Tenosynovitis

Advancements in de Quervain Tenosynovitis Management: A Comprehensive Network Meta-Analysis

Efektivitas Pemberian Intervensi Fisioterapi pada Kasus De Quervain's Tenosynovitis

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